Aetna February 2018 Medical Policy Updates

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February 2018 Medical Policy Updates:

New:

February 9, 2018 – 0925 – Benralizumab (Fasenra)
February 9, 2018 – 0926 – Transperineal Placement of Biodegradeable Material (SpaceOAR) for Prostate Cancer

Revised:

February 9, 2018 – 0179 – Viscosupplementation
February 9, 2018 – 0442 – Lysosomal Storage Disorders: Treatments
February 9, 2018 – 0724 – Antiemetic Therapy
February 9, 2018 – 0734 – External Ocular Photography
February 9, 2018 – 0782 – Hereditary Angioedema
February 9, 2018 – 0807 – Eculizumab (Soliris)

Updated:

February 16, 2018 – 0032 – Pulmonary Rehabilitation
February 16, 2018 – 0035 – Influenza Vaccine
February 16, 2018 – 0037 – Pneumococcal Vaccine
February 16, 2018 – 0046 – Routine Foot Care
February 16, 2018 – 0047 – Prenatal Care Provided by Primary Care Physicians
February 16, 2018 – 0048 – Hepatitis A Vaccine
February 16, 2018 – 0049 – Nutritional Counseling
February 16, 2018 – 0059 – Peak Flow Meters
February 16, 2018 – 0061 – Nutritional Support
February 16, 2018 – 0062 – Burn Garments
February 16, 2018 – 0718 – Defecography
February 16, 2018 – 0721 – Intraoperative Radiation Therapy (IORT)
February 16, 2018 – 0722 – Selective Nerve Root Blocks
February 16, 2018 – 0723 – Rotavirus Vaccine
February 16, 2018 – 0730 – Home Behavioral Healthcare Services
February 14, 2018 – 0002 – Oxygen
February 14, 2018 – 0005 – Septoplasty and Rhinoplasty
February 14, 2018 – 0013 – Cochlear Implants and Auditory Brainstem Implants
February 14, 2018 – 0017 – Breast Reduction Surgery and Gynecomastia Surgery
February 14, 2018 – 0019 – Holter Monitors
February 14, 2018 – 0020 – Injectable Medications
February 14, 2018 – 0029 – Thermography
February 8, 2018 – 0688 – Intra-oral Appliances for Headaches and Trigeminal Neuralgia
February 8, 2018 – 0692 – Acoustic Heart Sound Recording and Computer Analysis
February 8, 2018 – 0694 – Paranasal Sinus Ultrasound for the Evaluation of Sinusitis
February 8, 2018 – 0695 – Broth Culture Testing for Interstitial Cystitis
February 8, 2018 – 0696 – Suit Therapy
February 8, 2018 – 0698 – Prostate Saturation Biopsy
February 8, 2018 – 0699 – Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage)
February 8, 2018 – 0700 – Rhinometry and Rhinomanometry
February 8, 2018 – 0702 – Abdominal Aortic Aneurysm Screening
February 8, 2018 – 0703 – Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow
February 8, 2018 – 0704 – Indirect Measurement of Left Ventricular Filling Pressure (LVFP): The VeriCor System

Click here to view the Aetna Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

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